Editor's Note This study led by researchers at Cedars Sinai Medical Center, Los Angeles, finds that underrepresentation of minorities persists across all surgical specialties, while representation of females improves. The cross-sectional study examined race, ethnicity and attrition data of 112,205 surgical residents across 18 years (2001-2018) in 10 surgical specialties.…
Editor's Note This prospective Danish study finds that transfer to a postanesthesia care unit (PACU) immediately after elective hip and knee arthroplasty might be unnecessary in low-risk patients. A total of 696 total knee (274), total hip (287), and unicompartmental knee (135) arthroplasty patients were analyzed. Of those, 307 bypassed…
Editor's Note This experimental study, led by researchers at the University of Washington, Seattle, finds that chlorhexidine gluconate (CHG) is the most effective irrigation solution for use as part of the surgical treatment of bone tumors. Cultures of two types of bone tumors (giant cell and chondrosarcoma) were treated with…
Editor's Note This Swiss study finds that better OR ventilation properties, as assessed with a new ventilation index, are associated with lower rates of surgical site infections (SSIs) in orthopedic, spine, and cardiac procedures. Researchers calculated a ventilation index with higher values reflecting less turbulent air displacement instead of comparing…
Editor's Note The Agency for Healthcare Research and Quality (AHRQ) has released new statistics on inpatient stays with OR procedures by patient race and ethnicity from the 2019 National Inpatient Sample. Among the findings: Nonmaternal (ie, men and women of any age) hospitalizations with OR procedures in Black and White…
Editor's Note This study (CRISTAL randomized trial) from Australia finds that aspirin compared with enoxaparin resulted in significantly higher rates of venous thromboembolism (VTE) after total hip or knee arthroplasty. This cluster-randomized, crossover trial included 9,711 patients in 31 hospitals in Australia—5,675 in the aspirin group and 4,036 in the…
Editor's Note This study from the Cleveland Clinic finds that less than one-third of US hospitals were fully compliant in 2021 with the transparency in pricing for total joint arthroplasty (TJA) rule mandated by the Centers for Medicare and Medicaid Services (CMS). Of 400 hospitals analyzed between December 1 and…
Editor's Note This study from the Hospital for Special Surgery, New York City, finds that halting in-person office visits and physical therapy (PT) after total knee arthroplasty (TKA) because of COVID-19 did not affect complication rates or outcomes. A total of 624 study patients who had a TKA between January…
Editor's Note This study from the Icahn School of Medicine at Mount Sinai, New York City, finds that Medicare’s Comprehensive Care for Joint Replacement (CJR) program led to a reduction of racial differences in hospital readmission rates for patients having hip or knee replacement surgery. The retrospective cohort study included…
Editor's Note According to ASC Focus, the Ambulatory Surgery Center Association journal, new research was recently published that supports older data pointing to the cost savings of orthopedic procedures being done in ambulatory surgery centers (ASCs) compared to hospital outpatient departments (HOPDs). Past research cited by ASC Focus included an…